The hypothesis of present study is that the daily monitoring and optimization of DRG coding is associated with higher reimbursement. Therefore, the primary objective is to determine if the daily monitoring and optimization of DRG coding of individual cases leads to better proceeds per day.
Study Type
OBSERVATIONAL
Enrollment
1,200
Coding of cases follows the standard procedures established at the hospital
Standard coding will be reviewed by dedicated physicians and corrected or extended if necessary. Coding will compared to the written OP report for consistency. Dedicated physician visits patients daily (in addition to routine visits). Dedicated physicians review discharge report and will make changes and additions. DRG coding will be adapted to results from visits and discharge report.
Department of Surgery, Cantonal Hospital of St. Gallen
Sankt Gallen, Switzerland
reimbursement per day at hospital
total reimbursement per arm divided by the total stay of the patients in the arm in days
Time frame: 8 months
Length of hospital stay
length of hopital stay in full days including entry and discharge day
Time frame: 8 months
Total reimbursement per case
reimbursement in Swiss Francs per case
Time frame: 8 months
case mix index per case
Financial department will provide the cost weight/case mix index per case
Time frame: 8 months
Severity of perioperative complications
complications during hospitalisation will be graded according to the Clavian-Dindo scale. In case of multiple complications the highest grade will be taken.
Time frame: 8 months
readmission rate
Rate of case related readmissions
Time frame: 8 months
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